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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> I Phoenix,Arizona 85003 Well No MW-11C <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> W_Ite ID U-Haul #709-50 ❑ Other <br /> I Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> I WELL PURGING <br /> Purge Volume Purge Date s 1Zs/v Purge Method <br /> Casing Diameter(D)in inches Bailer-Type 6' PVC <br /> I N 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) ` '41 ❑ Other <br /> Water Level Depth(WL in feet BTOC) rY 4-y pump Intake Setting <br /> I Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom El Near Top [I Other <br /> 0 3 ❑ 4 [:15 ❑ other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 65 <br /> I _ 2 2 3 to 85 <br /> f O( `+I WL <br /> �7 } X X X 0 0409 = I Z b� <br /> Il J gallons <br /> TO(Feet) WL(feet) p(inches) #Vols <br /> Calculated Purge Volume <br /> IPump Time jPurge Rate Actual Purge Volume <br /> Start d 175- Stop 7N Time Elapsed initial gpm (3 gallons <br /> IField Parameter Measurements Final gpm <br /> ! -- r 7 <br /> Time Gallons Pu ed DQ% DO m !L Gond 1 , Cond 2 <br /> ( 9 ) Salinity Temp Notes <br /> I (umhoslcm) (umhoslcm) <br /> _31 OF 3 0"4—(.11, <br /> -7 <br /> "r I /9 S C rte..-_ - - i <br /> 3 v v z 7 u r �Z� l� ;b � e� ;; <br /> Observations During Purging(well Condition,Turbidity Color,Odor,etc n/„ d.4' �— <br /> I <br /> Purge Water Storage/Disposal ❑ Drum(s),Number <br /> ❑ Storm Sewer ❑ Sanitary Sewer <br /> I - Other/Comments. Purge water contained in on-site 1,000 gallon poly tank pending analysis/dcsposal <br /> { WELL SAMPLING <br /> Sampled By GC Isampling Date ;(zyb'� Sampling Time 4 yp <br /> ISampling Method Water Level Before Sampling(in feet BTOC) S <br /> E Bailer-Type 3' DIS osable ❑ Same as Above <br /> I ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> I Sample No I Containers,Vol,# Analysis Preservative Lab Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> MW-11 C (3)40mL Voa's 8015 HCl Seq Gasoline <br /> I (3)40mL Voa's 8260 HCI BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> Other Notes <br /> I <br />